Systematic Review

Systematic Review

Part 1

In the article “Risk Factors for Mortality in the Nurses’ Health Study: A Competing Risks Analysis,” various lifestyle and dietary risk factors were evaluated to determine their association with mortality from the overall population and those from the specific causes. With the sample size covering 50, 112 participants and having 4893 deaths and causes of majority deaths related to cardiovascular issues and lifestyle practices, the result is alarming(Baer et al., 2010). If this information is correct, the impact will go beyond the nurses and have an impact on the patients I care for. This will be related to my reduced output while I will be battling the lifestyle conditions.

As the deaths from the lifestyle conditions amount to 3387, it indicates the increased amount of time the nurses use to impact their lifestyle either socially or as an individual(Baer et al., 2010). Such an instance may be an indicator of less time the nurses may spend in the care provision. Alternatively, the nurses may not concentrate entirely in the care provision while on duty, as they may be addicted to substance use or even obese limiting their activities of giving care. In the long haul, the patient may not receive the ideal or required care.

The information from this article is vital in guiding the practices the nurses need to engage in to reduce the incidence and prevalence of the lifestyle conditions which are dreadful to their lives. This will keep the nurses also healthy and enable them to provide better care to their patients. Despite the fact that this will impact the health of patient s positively, they may not be aware or even care about this.

The problem on the lifestyle practices is common even in my nursing practice where more hours are spent in giving care for patients with less time for physical activity. In the long run, the nursing staff present with overweight and obesity predisposing them to the cardiovascular conditions (Shamian et al., 2016). With the cardiovascular causes of death leading the mortality list, it will require me to change my practices by setting time for physical activity as well as having a programmed physical exercise plan.

Part 2

A systematic review of chronic disease management

In the article “A systematic review of chronic disease management,” the authors relied much on studies that were conducted off the last five years. Despite having over 90 references, they were all conducted relatively longtime ago making the review less updated with the recent studies (Zwar et al., 2017). In the article, the importance of the review is stated in that it targeted the chronic conditions managed in the primary care setups. The review was to assist in determining the role of various stakeholders in managing the condition as well as the effectiveness of the approaches in place to manage the conditions.

Concerning the sources used, the authors used mostly the primary sources constituting of data and information of the caregivers at the primary care centers. They also used reports and journals about the chronic conditions management. Some secondary sources such as reviews were also used in the article. The review entails a critical examination of the information with objective reporting as well as substantiating the information with the data collected in the process of the review.

Indeed, the review is organized appropriately ranging from the background and rationale, models and innovative care used in the management of the chronic conditions and outcomes of the interventions put in place. It ends with a summary capturing the findings of the review. These included a problem in chronic care model guiding evidenced-based practice, lack of evidence indicating the impact of the chronic care model and determination of the chronic care model being unable to give care guidance in low levels of care provision set up.


Baer, H. J., Glynn, R. J., Hu, F. B., Hankinson, S. E., Willett, W. C., Colditz, G. A., … &Rosner,

  1. (2010). Risk factors for mortality in the nurses’ health study: a competing risks

analysis. American journal of epidemiology, 173(3), 319-329.

Shamian, J., Kerr, M. S., Laschinger, H. K. S., & Thomson, D. (2016). A hospital-level analysis

of the work environment and workforce health indicators for registered nurses in

Ontario’s acute-care hospitals.Canadian Journal of Nursing Research Archive, 33(4).

Tsai, A. C., Morton, S. C., Mangione, C. M., & Keeler, E. B. (2005). A meta-analysis of

interventions to improve care for chronic illnesses. The American journal of managed

care, 11(8), 478.

Zwar, N., Harris, M., Griffiths, R., Roland, M., Dennis, S., Powell Davies, G., &Hasan, I.

(2017). A systematic review of chronic disease management.

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